Thara Kristelle Enerio
Physical Medicine & Rehabilitation Doctor
26717 Hillside Ave
Glen Oaks
, New York 11004-1743
Thara Kristelle Enerio
Physical Medicine & Rehabilitation Doctor
26717 Hillside Ave
Glen Oaks
, New York 11004-1743
(908) 416-3155
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Thara Kristelle Enerio
- 3433 62nd St
- Woodside, NY
- Zip : 11377-2147
- Phone : (908) 416-3155
Second Address
- Thara Kristelle Enerio
- 26717 Hillside Ave
- Glen Oaks, NY
- Zip : 11004-1743
- Phone : (718) 343-2121
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Is Thara Kristelle Enerio a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 043504-1 | NY |
National Provider Identifier
| NPI | 1003419896 |
|---|---|
| Provider Name | Thara Kristelle Enerio |
| First Address | Woodside, NY 11377-2147 |
| Second Address | Glen Oaks, NY 11004-1743 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2020 |
| Last Update Date | 16/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.